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Chapter 17


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[Front]


milliequivalent
[Back]


refers to the concentration of electrolytes in a certain volume of solution, expressed as milliequivalent per liter (mEq/L)

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Chapter 17 - Marcador

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Chapter 17 - Detalles

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Milliequivalent
Refers to the concentration of electrolytes in a certain volume of solution, expressed as milliequivalent per liter (mEq/L)
Numerator
The "top" number of a fraction
Denominator
The "bottom" number of a fraction
Percent
Its symbol, %, mean "hundredths"
Fraction
Is called a "percentage"
Proportion
Is a relationship between two ratios of equal value
Means
The inner terms of the proportion
Extremes
The outer terms of the proportion
Ratio
Is the relationship of one number or quantity to another number or quantity
Dimensional analysis method
Also called factor labeling or the label factor method
Body surface area
Is defined as the total area exposed to the outside environment
Pharmacology
Is the study of drugs (medications) & their action on the living body
Metabolite
Is a substance produced by metabolic action, which results in the breakdown of the drug
Cumulative
Increasing by increments
Dosage
Is the schedule of administration (amount & frequency) of a drug prescribed for the patient by the health care provider
Therapeutic
Beneficial
Drug interaction
A modification of the effect of a drug when administered with another drug
Potentiation; or synergism
When one drug increases the action or the effect of another drug
Compatibility
Is the quality or state of harmonious coexistence
Agonist
A drug that produces a predictable response at the intended site of action
Antagonist
Is a drug that blocks the action of another drug
Idiosyncratic
Reaction to a drug results from the individual's unique hypersensitivity to it
Toxicity
Dangerous buildup of a substance, & unexpected drug reactions
Tolerance
A reduced response to a drug over time
Adverse drug reaction
A harmful, unintended reaction to a drug administered at a normal dosage
Enternal
Are absorbed within the GI tract
Enteric-coated
Tablets are encased by a coated shell that keeps the tablet from being absorbed in the stomach; absorption takes place in the intestines
Pulverized
Crushed to a powder
Graduated
Has markings indicating marked amount; total volume of cup is 30 mL, or 1oz or appropriate graduated syringe
Meniscus
Curved formed by liquid's upper surface
Souffle cup
Ungraduated disposable paper cup
Percutaneous
(through the skin or mucous membrane) include lotions, ointments, creams, & powders
Sublingual
Under the tongue
Buccal
In the cheek
Total applications
Applied to the skin
Irrigations
Involve a gentle washing of an area with a stream of solution delivered through a syringe
Parenteral
Routes are those other than the digestive system route
Ampules
Glass containers accessed by snapping off the top part of the ampule with a collar, gauze, or alcohol swab
Syringe
Consists of a barrel, a plunger,
Lumen
The inside of the hollow shaft
Gauge
A standard or scale of measurement
Intermittent venous access device
(commonly called a saline lock, previously called a heparin lock) is an IV infusion device with male adapters covered by diaphragms for the administration of intermittent infusions & as an access site for emergency drug infusion
Patient-controlled analgesia (PCA)
Is a drug-delivery system that dispenses a preset IV dose of an opiod analgesic into a patient's vein when the patient pushes a button that is connected to the PCA system via a cord
Drip factor
An apparatus that is used to deliver measured amounts of IV solutions of specific flow rates that are based on the size of drops of the solution
Anaphylactic shock
A severe, life-threatening hypersensitivity reaction
Liter(L)
Volume (amount) of fluids
Gram(g)
Weight of solids
Meter(m)
Measure of length
Deca
10 times the unit
Hecto
100 times the unit
Kilo
1000 times the unit
1 liter (L)
1000 milliliters (mL)
0.001 liter (L)
1 milliliter (mL)
1 milliliter (mL)
1 cubic centimeter (cc)
1 gram (g)
1000 milligrams (mg)
0.001 gram (g)
1 milligram (mg)
1 kilogram (kg)
1000 grams (g)
30 milliliters (mL)
1 fluid ounce (fl oz)
60 milligrams (mg)
1 grain (gr)
1000 milligrams (mg)
15 grains (gr XV)
30 grams (g)
1 ounce (oz)
0.45 kilogram (kg)
1 pound (lb)
1 kilogram (kg)
2.2 pounds (lb)
1 ounce
30 mL
1 cup
240 mL
Nursing responsibilities in solving dosage problems
Check whether the answers reasonable, do not allow any errors in calculating, recheck calculations, reduce distractions, work problems systematically & carefully, & perform dosage calculations independently; then ask another nurse to perform the same dosage calculation problem, & check answers
Method of calculation
Used most commonly for dosages of medications for infants & children, but it can be used for a patient of any age
Factors the health care provider should consider when administering meds for a child?
Age, weight, body surface area, & the ability of the child to absorb, metabolize, & excrete medication
Young's rule
A method of calculating the appropriate dose of a drug for a child 2 years of age & older; Age of child/Age of child + 12 multiply Average adult dose = Child's dose
Clark's rule
Another method of calculating the appropriate dosage of a drug for a child, in this rule the child's weight is used to determine dosage; Weight of child in pounds/150 multiply Average adult dose = Child's dose
Fried's rule
Is used to calculate appropriate dosages for infants younger than 2 years; Age in months/150 multiply Average adult dose = Child's dose
What are drugs used for?
To restore & maintain the healthy functioning of body tissues, organs, & systems & in diagnostic procedures
Pharmaceutical phase
From the manufacturing of the drug until the absorption of the drug in the patient's body
Pharmacokinetic phase
Involves the movement of the drug's active ingredients from the body fluids into the patient's system & to the site where the intended action of the drug takes place
Pharmacodynamic phase
The drug's active ingredient interacts with the intended body tissues
What is necessary to assess & consider when administering drug?
Patient's hepatic (liver) & renal (kidney) functions because decrease hepatic & renal function has the potential to prolong the length of time a drug stays in the body & may continue to be active
Toxic
Harmful
Lethal
Deadly
Liver
Main organ that inactivates & metabolizes drug
Kidneys
The principal organs that eliminate the metabolites of drugs from the body
Dose of medicine
Refers to a single administration of a drug
Terms used with medication orders
Stat, now, one time only, & prn (give as necessary)
Stat
Medications that are planned to mange an emergency patient condition; have the highest priority ranking; need to be completed before other orders; time of actual administration must be documented; order is a one time only dose
Now
High in priority but should be completed after stat orders
One time only
Medication is to be administered as a single dose
Prn (give as necessary)
Patient is permitted to request this medication, or the nurse may offer it; must specify a definite time interval between permitted repeat administrations
Local action by a drug
Produces an effect only in the area where the drug has been placed
Systemic action
Affects the entire body, because the drug enters the patient's systemic circulation
Drug compatibility
The ability to administer medications together easily without any difficulty for the patient
Drug incompatibility
The medications do not combine well chemically or physically; should not be given together
Cardiotonics
Drugs that slow & strengthen the heart
Antihypertensives
Drugs that lower blood pressure
Hypoglycemic agents
Oral medications that lower blood glucose level
Insulin
Injectable medication that lowers blood glucose level